# JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson County Memorial Hospital Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699724757
- **Authorized official:** MR. STEVE HARTGRAVES (PRESIDENT/CEO)
- **Authorized official phone:** (580) 379-5000

## Contact information

- **Practice address:** 1204 E TAMARACK RD, ALTUS, OK 73521-1234
- **Practice address phone:** (580) 379-6900
- **Practice address fax:** (580) 379-6909
- **Mailing address:** 1204 E TAMARACK RD, ALTUS, OK 73521-1234
- **Mailing address phone:** (580) 379-6900
- **Mailing address fax:** (580) 379-6909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7150 | OK | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 10/06/2022